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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Advanced Chemical Transport Dale&Time Received: 04/27111 13:20 <br /> Project Name: ACT Parts Washer Client Project Number: <br /> Received By: IC Matrix: Water 0 Soil ❑ Sludge ❑ <br /> Sample Carder: Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: Ll 04052 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No 0 <br /> NIA_ Yes 0 No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under retrigeration? Yes ❑ No 0 Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> WA ❑ Yes ❑ No 0 <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (Nonesubmided ❑) Yes ❑ No 0 <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Argon only received 2 glass amber Liters unpresserved.Samples ID's hard to read. <br /> Action Taken: <br /> Argon split sample into(3)4OmL VOA's+HCI for volatiles and split for CAM-17(25Oml-plastic+HNO3) <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br />